BAA CPG Transition Course
In August 2018 the Professional Board for Emergency Care (PBEC) released a communication to all emergency care providers that the previously communicated draft Clinical Practice Guidelines (CPGs) and related capabilities and medications have been adopted (with certain amendments) by the Professional Board for Emergency Care (PBEC) for use and implementation by all registered emergency care providers. Additionally, they informed all providers that it was the responsibility of all registered persons to:
a. familiarize themselves and;
b. undergo learning/training activities related to the contents of the document. In addition to familiarization, it is important that as far as possible, and where relevant, the related clinical practice guideline is used during all clinical encounters.
Where not applicable, all reasonable, locally contextual standards of care apply to clinical encounters. The new deadline given for the adoption of the revised list of capabilities and medications by registered persons is currently to be determined.
The course will be presented in an online fashion. Student will have access to video performance of the applicable skills, PowerPoint presentations and PDF literature. There are 6 modules in this course, each ending with a module examination. The enrolled students will have to sign off two skills to successfully transition into the new BAA Qualification. This can be done at one of the PHEC Skill Sign-Off Sites nationwide.
MODULE 1 – OXYGEN AND VENTILATION
-
1MODULE 1 – OXYGEN AND VENTILATION
MODULE INTRODUCTION
Oxygenation is the process of oxygen diffusing passively from the alveolus to the pulmonary capillary where it binds to hemoglobin in red blood cells or dissolves into the plasma. Whereas ventilation is the exchange of air between the lungs and the atmosphere so that oxygen can be exchanges for carbon dioxide in the alveoli.
Oxygenation and ventilation is vital for all human beings thus as an emergency care provider it is important to be knowledgeable of all forms of oxygenation and ventilation to assist ones patients.
-
2Revision of basic Airway Assessment and Management.
LEARNING UNIT 1
In this Learning Unit we will be revising our respiratory assessment methods and look at some clinical parameters pertaining to the respiratory status. You as a BAA play a very important role in the identification of a respiratory distressed patient. We will also review basic airway management. Read through the material and watch the video.
-
3Revision of Oxygenation and Ventilation.
LEARNING UNIT 2
In this Learning Unit we will be looking at the difference between oxygenation and ventilation. It is important to understand the devices which you encounter in the field of emergency care. Read through the material.
-
4Risks associated to BVM ventilation through advanced airway devices across all age groups.
LEARNING UNIT 3
Before we go through to the advanced airways, let’s just look at the BVM Device again and the associated risks. We always start with the basics and work our way upwards. Read through the material in this Learning Unit.
-
5Introduction to common pre-hospital advanced airway devices.
LEARNING UNIT 4
Here we are, advanced airways. In this Learning Unit we will be looking at common advanced airways used and also at some things that might go wrong. Read through the material in this Learning Unit and watch the videos.
-
6The use of BVM with an advanced airway device during cardiopulmonary resuscitation.
LEARNING UNIT 5
Now that we know how to provide breaths through and advanced airway, let’s look at the resuscitation environment. In the event of a resuscitation, advanced airways are commonly used. Read through this Learning Unit and understand the key changes of providing breaths during a resuscitation with an advanced airway in place.
-
7Asthma and COPD management nebulization with β2 Stimulants (inhaled)
LEARNING UNIT 6
Another skill which you are familiar with is Nebulization. We will be revising nebulization together with asthma. You as a BAA provider have two bronchodilators added to your scope of practice, this will be discussed under Module 5.
-
8MODULE SUMMARY: OXYGEN AND VENTILATION
MODULE SUMMARY
Now that we went through the 6 learning units of this module, here is a summary of what we have covered. Go through the content and make sure you are ready to challenge the module examination.
-
9Module 1 Examination
MODULE EXAMINATION
Requires 80% to pass
Please do the following examination to the best of your knowledge. You need 80% to pass the Module Examination. After completing this examination, you will proceed to Module 2 – Circulatory Management. Good Luck!
MODULE 2 – CIRCULATORY MANAGEMENT
-
10MODULE 2 – CIRCULATORY MANAGEMENT
So now that we have airway and breathing sorted, let’s have a look at the circulatory system. Welcome to Module 2 and congratulations on passing Module 1. Trauma management forms a big part in this module and we recommend that you do some other bleeding control and trauma management courses available for pre-hospital providers. Bleeding control is a basic skill, but in some situations it may be a very difficult task.
-
11Control external haemorrhage with topical haemostatic agents
LEARNING UNIT 1
Topical haemostatic agents have evolved into various classes over the years, the HPCSA have released in the latest guidelines that this is one of the new skills that you as a BAA should be competent with in practice. This learning unit will guide you through the use of topical haemostatic agents. Read through the material and watch the video.
-
12Control external haemorrhage with the safe use of a tourniquet
LEARNING UNIT 2
In this Learning Unit we will be looking at the use of the tourniquet to stop bleeding. As a BAA you need to familiarize yourself with the identification of a life-threatening bleed which may need to be controlled with the use of this device. There are various types of tourniquets which you will learn about in this Learning Unit. Read through the material and watch the videos.
-
13Understand the use of NIBP and the application thereof
LEARNING UNIT 3
Now that we have learned the bleeding control methods new to your scope of practice, we will be reviewing the measurement of blood pressures. Although automated non-invasive blood pressure measurement are commonly performed, review the follow video and content.
-
14Know how to perform oral rehydration therapy with the use of the CPG suggested agents
LEARNING UNIT 4
The new CPG has placed focus on oral rehydration therapy for dehydrated patient, especially your paediatric patients. Let’s look at the management of these patients through the use of oral rehydration solutions. Read through the material in this Learning Unit and watch the video.
-
15Precordial thump; indications and execution
LEARNING UNIT 5
There is a lot of controversy around the performance of the precordial thump, however its use are outlined in the new CPG and in this learning unit we cover the indications and performance of the skill. Read through the material in this Learning Unit and watch the video.
-
16Module 2 Summary
MODULE SUMMARY
Now that we went through the 5 learning units of this module, here is a summary of what we have covered. Go through the content and make sure you are ready to challenge the module examination.
-
17Module 2 Examination
MODULE EXAMINATION
Requires 80% to pass
Please do the following examination to the best of your knowledge. You need 80% to pass the Module Examination. After completing this examination, you will proceed to Module 3 – Obstetric Management. Good Luck!
MODULE 3 – OBSTETRIC MANAGEMENT
-
18MODULE 3 – OBSTETRIC MANAGEMENT
-
19Recognition and management of obstetric emergencies during labour and delivery
LEARNING UNIT 1
This will be the most strenuous learning unit of this module. Pay close attention to all the video details and read thoroughly through all the content. This will form the foundation of your obstetric management knowledge. Read through the material in this Learning Unit and watch the videos.
-
20Resuscitation of the neonate/newborn
LEARNING UNIT 2
Learning Unit 1 covered the whole delivery process in various scenarios. There are situations where the delivery of a new-born will require resuscitative interventions to save the new-born’s life. In this Learning Unit we will focus on Neonatal Resuscitation. Read through the material in this Learning Unit.
-
21Safe use of an incubator for temperature control in neonatal patients patients
LEARNING UNIT 3
Incubators are commonly used in the obstetric transfer scenarios, in this Learning Unit we will go over the emergent use of rewarming strategies in the obstetrics environment and also cover the use of incubators.
-
22Module 3 Summary
MODULE SUMMARY
Now that we went through the 3 learning units of this module, here is a summary of what we have covered. Go through the content and make sure you are ready to challenge the module examination.
-
23Module 3 Examination
MODULE EXAMINATION
Requires 80% to pass
Please do the following examination to the best of your knowledge. You need 80% to pass the Module Examination. After completing this examination, you will proceed to Module 4 – Skeletal Trauma Management. Good Luck!
MODULE 4 – SKELETAL TRAUMA MANAGEMENT
-
24MODULE 4 – SKELETAL TRAUMA MANAGEMENT
-
25Spinal Motion Restriction practices
LEARNING UNIT 1
In this Learning Unit we will be discussing the concept of Spinal Motion Restriction. A concept which is not as well understood and adopted in the South African context. We will be looking at the different methods of Spinal Motion Restriction and when it needs to be applied. Read through the material in this Learning Unit and watch the videos.
-
26Pelvic splinting techniques and equipment
LEARNING UNIT 2
Learning Unit 2 will cover the use of commercial pelvic binding devices. As a BAA provider you will play an important role in the identification of pelvic injuries, and the management and stabilization of a pelvic injury as part of a team. Read through the material in this Learning Unit and watch the video.
-
27Monitoring and documentation of blunt trauma patients
LEARNING UNIT 3
Different methods and equipment are being utilized for spinal motion restriction, however when using a hard backboard or scoop stretcher, you need to document specific aspects of this utilization. In this Learning Unit we will be looking at this briefly. Read through the material in this Learning Unit.
-
28Module 4 Summary
MODULE SUMMARY
Now that we went through the 3 learning units of this module, here is a summary of what we have covered. Go through the content and make sure you are ready to challenge the module examination.
-
29Module 4 Examination
MODULE EXAMINATION
Requires 80% to pass
Please do the following examination to the best of your knowledge. You need 80% to pass the Module Examination. After completing this examination, you will proceed to Module 5 – Pharmacology. Good Luck!
MODULE 5 – PHARMACOLOGY
-
30MODULE 5 – PHARMACOLOGY
Welcome to Module 5, congratulations on passing Module 4. In this module we will focus on the new suggested BAA Pharmacology as per the new CPG.
-
31Pharmacology
LEARNING UNITS 1 & 2
In this Learning Units we will focus on the application of the newly added pharmaceutical agents to the BAA scope of practice. Read through the material in this Learning Unit and watch the videos.
-
32Module 5 Summary
MODULE SUMMARY
Now that we went through the learning units of this module, here is a summary of what we have covered. Go through the content and make sure you are ready to challenge the module examination.
-
33Module 5 Examination
MODULE EXAMINATION
Requires 80% to pass
Please do the following examination to the best of your knowledge. You need 80% to pass the Module Examination. After completing this examination, you will proceed to Module 5 – Pharmacology. Good Luck!
MODULE 6 – ETHICS
-
34MODULE 6 – ETHICS
Welcome to Module 6, congratulations on passing Module 5. This is the last module of this course before you face the final examination.
-
35Ethical principles in Prehospital Emergency Care
LEARNING UNIT 1
In this Learning Unit we will just revise the core definitions of ethics and professional practice. Read through the material in this Learning Unit and watch the external video by scanning the barcode.
-
36Ethical principles and the Law
LEARNING UNIT 2
In this Learning Unit we will revise the most famous ‘Booklet 1’ and its content from the HPCSA. Read through the material in this Learning Unit.
-
37Consent
LEARNING UNIT 3
In this Learning Unit we will revise the aspects of consent and various types consent. Read through the material in this Learning Unit.
-
38Ethical reasoning
LEARNING UNIT 4
In this Learning Unit we will look at the Ethical Reasoning process and see how we can apply it to any ethical dilemmas or scenarios we might encounter in practice. Read through the material in this Learning Unit.
-
39Legislation applicable to Emergency Medical Care
LEARNING UNIT 5
In this Learning Unit we will look at various legislation that are applicable to the EMS. Read through the material in this Learning Unit.
-
40BAA Module 6 Conclusion
-
41Module 6 Examination